Provider Demographics
NPI:1205262706
Name:NEMEH, NADIA M
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:M
Last Name:NEMEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:399 E HIGHLAND AVE
Mailing Address - Street 2:STE 427
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92404-3808
Mailing Address - Country:US
Mailing Address - Phone:909-882-1210
Mailing Address - Fax:909-882-0716
Practice Address - Street 1:399 E HIGHLAND AVE
Practice Address - Street 2:STE 427
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92404-3808
Practice Address - Country:US
Practice Address - Phone:909-882-1210
Practice Address - Fax:909-882-0716
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered